Technology Use/Management - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technology Use/Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You support technical training and development of employees.
  1. You maximize the use of new technology to deliver products and services.
  1. You adopt the implementation of new technology into the workplace.
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You understand and are committed to implementing new technologies.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You anticipate the concerns of other employees.
  1. I am willing to lend a hand to those in the department who need help.
  1. You are respectful of the opinions and ideas of others.
  1. You attend to both the content and the context of what was being said.
  1. You build a strong rapport with co-workers.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You adapt to changes in team membership.
  1. You are able to step in and help co-workers when needed.
  1. You are able to quickly learn new ways of performing your job.
  1. You easily accept new responsibilities.
  1. You are aware of changes in the environment.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You anticipate critical incidents in the department and take steps to mitigate their effect.
  1. I take the initiative to address problems sooner rather than later.
  1. You are driven to complete a high amount of work.
  1. You take corrective action when necessary.
  1. I make decisions confidently and stand by them.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You take charge of your training and skills enhancement.
  1. You improve on your skill sets.
  1. You build on your strengths while addressing your weaknesses.
  1. You pursue learning that will enhance job performance.
  1. You set relevant learning objectives and goals.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to influence others.
  1. You give inspiring presentations or discussions.
  1. You sit down regularly with employees to review your job performance.
  1. You motivate others to reach and exceed organizational goals and objectives.
  1. You express clear goals and objectives.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I determine the operational standards needed for performance of the job.
  1. You present performance feedback in a clear and concise manner to address performance issues.
  1. I stress the importance of meeting production quotas.
  1. I create clear standards that are understandable and fair.
  1. You give additional responsibilities to individuals who exceed standards.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are flexible in adjusting priorities to meet the demands of changing situations.
  1. You set ambitious standards of performance.
  1. You hold others to high standards of achievement.
  1. You demonstrate improvement in performance.
  1. I set performance metrics to measure achievement or attainment of goals.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Negotiation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I am aware of potential emotional triggers that could negatively impact the negotiations.
  1. You are able to express themselves in a clear, convincing, and logical manner.
  1. You clearly explain the issues and interests at the start of negotiations.
  1. I stay composed and counter aggressive negotiation tactics by reframing unreasonable proposals or actions.
  1. I stay well-informed about the issues and priorities.
If you were to make improvements in Negotiation, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.